Mamiriro ezvinhu akajairika, kunzwisisika uye ruvara rweganda rinotarirwa neropa rayo. Chiremba wechiFrance Maurice Reynaud akawana chirwere makore anopfuura 150 akapfuura, izvo zvinokonzera kupinza kwemitsetse yeropa zvakapfurikidza nekuzotevera sclerosis uye fibrosis yemasukisi. Izvi zvirwere zvinowanikwa mu 3-5% ye vagari venyika, kunyangwe vanhu vakuru.
Chirwere chaRaynaud - chii chine vakadzi?
Dambudziko rinorondedzerwa chirwere chisingachinji chechirwere chinopa ropa kune tsoka uye maoko, zvigunwe. Dzimwe nguva nzeve, mhino nemiromo zvinobatanidzwa mukuita. Zvakakosha kuderedza chirwere chaRaynaud panguva yakakodzera - zviratidzo uye kurapa zvinowedzera kuwedzera nekukura kwehutano. Nokuda kwechikonzero chisingazivikanwi, vakadzi vaduku vanowanzove vachitambura nehosha (chirwere chacho chinowanikwa ka5 kanopfuura kupfuura varume) kubva pamakore makumi maviri nemakumi mana.
Chii chakaipa chirwere chaRaynaud?
Nekushayikwa kweropa uye oksijeni, hypoxia yeganda uye zvinyoro zvinyoro zvinoitika, uye necrosis inoonekwa. Pakupedzisira kwechirwere chaRaynaud, nzvimbo dzakakanganiswa dzinotanga kuvharwa nemablisters anotsiva maronda ane simba uye asina kuporeswa. Pakupedzisira, mavara acho achaporesa, asi dzimwe nguva ichafa uye inopera . Matambudziko akadaro anokanganisa mishonga, masangano nemapfupa.
Chirwere chaRaynaud ndicho chikonzero chekutanga
Mhedziso chaiyo yehutambudziro hwemaguru echiremba wechiremba hausati hwajekeswa. Pane zvikonzero zvinokonzera chirwere chaRaynaud - zvinokonzera, zvichida zvichikonzera chirwere:
- basa rezvenyanzvi;
- nguva yakawanda uye yakawedzerwa supercooling yemakumbo;
- rheumatic uye endocrine zvirwere;
- kukanganisa kwemagetsi kuminwe;
- kuchinja mu rheological yeropa;
- chronic stress;
- zvirwere zvakakomba;
- kubatana kusina kukwana kwebato re lateral nyanga dzomukona;
- zvirwere zvekunze kwenheyo system;
- adrenal gland kudzvinyirira;
- kukanganiswa kwemukati wemidziyo yeropa muminwe;
- angiospasm ye-coronary arteries.
Matambudziko aRaynaud - Zviratidzo
Chirwere chemakiriniki chechirwere chinopindirana nechikwata chekufambira mberi. Iyo yakareba yakanyanya kuwedzera, chirwere chinonzi raRaynaud chinonyanya kuzivikanwa - zviratidzo zvevakadzi, zvichienderana nekuoma kwechirwere ichi:
- Angiospastic danho. Izvo zvigunwe zveminwe kana tsoka zvinenge zvisingachaperi, zvinotonhora uye zvinotonhora, uye zvinorasikirwa nekunzwisisa. Kurwisa kunotora kubva kumaminitsi mashomanana kusvika paawa imwe, mushure mezvo ganda rinowana maitiro akafanana uye kutonhora.
- Angioparalytic stage. Izvo zvipembenene zvezvivako zvinotambudzwa zvinowedzera kupisa, izvo zvinonzwika sekukanganiswa kana kuora. Ganda rinova chando uye bhuruu-violet mumucheka, kuzvimba kweminwe kunoonekwa.
- Nharaunda yeTrophoparalytic kana chirwere chakakura chaRaynaud. Zvose zviratidzo zvinotsanangurwa pamusoro apa zvinowedzera kuipa uye dzinowedzera. Pamusoro peganda rakasvibiswa, mabhuni ane zvimedu zvakatsvuka mumvura zvinoumbwa, dzimwe nguva kune panaric kurwisa. Necrotic ulcers inowanika panzvimbo yeblisters inoputika. Nokufamba kwenguva, inowedzera kana kuora. Mune dzimwe nguva mamiriro ezvinhu ekufa kwemashutu anosvika pfupa.
Matambudziko aRaynaud - Kuongororwa
Iva nechokwadi chokuti kukura kwehutachiona uku kwakaoma nekuda kwekufananidzwa kwezviratidzo zvayo nehutachiona hwakafanana. Zvakakosha kusiyanisa zvimwe zvirwere zvevascular uye chirwere chaRaynaud - kusiyanisa kurapwa kwakakosha kubvisa izvi zvinotevera:
- kubvisa endarteritis ;
- chiitiko che staircase muscle;
- kudzvinya kwe subclavia ariti;
- thyrotoxicosis ;
- systemic scleroderma ;
- climacteric period;
- Sjögren's syndrome;
- chirwere chekudengenyeka;
- mhondi yepamusoro;
- syringomyelia;
- makemikari kudhakwa nevamwe.
Reynaud's Syndrome uye Dhaase raRaynaud
Anenge mazita akangofanana anoshandiswa pamararamiro akasiyana, ayo anokosha kuti anzwisise zvakajeka. Dendaase uye Raynaud's syndrome vanosiyaniswa nechikonzero chechimiro chechipatara chinyorwa. Muchiitiko chekutanga, chirwere chacho chirwere chakazvimiririra nezvimwe zviratidzo. Iyo chirwere chinokonzerwa nekufambira kweimwe zvirwere, kusanganisira chirwere chaRaynaud, icho chimwe chezviratidzo zvayo. Dambudziko rakadaro revascular inherent in the disorders following:
- systemic lupus erythematosus;
- rheumatoid arthritis;
- scleroderma;
- dermatomyositis;
- vasculitis;
- kudzvinyirira kwezvisungo zvepfungwa;
- pathology yenyasha ganglia;
- diencephalic disorders;
- zvirwere zvisingaperi zveropa neropa;
- thrombosis yemasine uye arteriyo;
- congenital pathologies yezvibatanidza;
- pheochromocytoma;
- kutora mishonga yakasimba.
Raynaud's disease - miedzo
Chokutanga, chiremba anonyatsoongorora murwere uye anounganidza annesnesis yakazara. Chirwere chaRaynaud chinoratidzwa kuti chinonyanya kuwanikwa nemamiriro acho ezvinhu. Dzimwe nguva mune tsanangudzo yehutachiona, kunyatsoongorora kuongorora maitiro epasiki munharaunda yemapulisa echipikiri kunobatsira. Munda wemishonga unoongorora chirwere chaRaynaud chirwere chepfungwa, saka kuwedzera kwekuedzwa kunoitwa. Icho chinonyanya kuzivikanwa ndechekuedza kwehutori - mamiriro emakumbo mushure mekunge abhabhatidzwa (kwemaminitsi mashomanana) mumvura pane kutonhora kwemadigiri gumi.
Mimwe miedzo inogona kubatsira kubvisa chirwere cheMorris-Raynaud:
- Radiography yemidziyo yeropa;
- dopplerography ye arterium;
- kuongorora ropa (biochemical, for fibrin maintenance);
- electrocardiography.
Nzira yekurapa chirwere chaRaynaud?
Kurapa kwekuongororwa kwechipatara kunoitwa nemaitiro anochengetedza uye ekuvhiya. Nzira yekutanga ndiyo yakakodzera, kana kusagadzikana chirwere chaRaynaud chinowanikwa - chirwere chinongopedzisira kugadziriswa kwezviratidzo nekuvandudzwa kwehupenyu. Iyi nzira inosanganisira nguva refu, uye kazhinji kurapwa kweupenyu hwose. Kuvhiya kunorayirwa muzvikamu zvakasimba zvechirwere, apo kufambira mberi kwacho kuchizara nekubviswa kwemakumbo nemimwe migumisiro ine ngozi.
Chirwere chaRaynaud - kune chiremba chinoshanda kupi?
Kutanga, zvinokurudzirwa kushanyira murapi wekuongorora kukuru uye kuunganidzwa kweamamnesis. Mumwe chiremba achakuudza kuti nyanzvi ipi inobata chirwere chaRaynaud:
- neurologist;
- chiremba chiremba;
- neurologist.
Chirwere chaRaynaud - kurapwa, zvinodhaka
Pakusarudza kurapa kwemishonga, chiremba anosarudza:
- antispasmodics - Papaverin, Spazmonet, Buskopan;
- adrenoblockers (pakati neperi) - Doxazosin, Prazosin, Zoxon;
- vasodilators - Pentoxifylline, Theobromine, Pyracetam;
- ganglioblokatory - Imehin, Pirilen, Temechin;
- runyararo - Atarax, Diazepam, Phenazepam;
- calcium blockers - Amlodipine, Nifedipine, Felodip;
- vanodzvinyirira - Azafen, Prozac, Bethol;
- cycloid inhibitors - Metindol, Indomethacin, ascorbic acid;
- kwete-steroid painkillers - Ketanov, Naproxen, Ibuprofen;
- anti-inflammatory medication - Mawalis, Nalgezin, Diclofenac ,;
- antibiotics - Erythromycin, Clindamycin, Ciprofloxacin;
- mavitamini - nicotinamide, rutin, nicotinic acid.
Iwe unogona kuzvimiririra kuderedza kuoma kwemakiriniki ekuratidzwa kwehutano uye kuderedza kukanganisa kwemapapu emascula. Heino nzira yekurapa chirwere chaRaynaud kumba:
- Kudya zvakakwana uye nguva dzose.
- Tevera hutano hwemazuva ose hwemakumbo, kudzivisa hypothermia.
- Zorora, ona nzira yakanakisisa yekumuka uye kurara.
- Dzivisa kuwandisa mupfungwa kunetseka.
- Rega kubva pamidhakwa, kunyanya kusvuta.
- Zororo rezuva nezuva remaoko nemakumbo.
- Ita mhedziso.
Chirwere cheRaynaud chinopindura zvakanaka kune zvinotevera physiotherapeutic nzira yekuita:
- darsonvalization ;
- ultraviolet irradiation;
- electrophoresis ne lidase kana calcium;
- diathermy;
- galvanic baths;
- acupuncture;
- vacuum, laser uye magnetic therapy.
Chirwere chaRaynaud - kurapwa nemishonga yevanhu
Mishonga inoshandiswa kune dzimwe nzira ine nzira dzakasiyana-siyana dzekudzorera kupararira kwemazuva ose mumasukisi. Nzira yakanakisisa, maitiro ekurapa chirwere chaRaynaud nemishonga yevanhu - kurwisa coniferous mabhati. Izvo zvakakosha kuunganidza mvura nekupisa kwema 37 degrees uye kuwedzera marita 7-10 eFir mafuta anokosha mairi. Mukushambidza kwakadaro iwe unofanirwa kuporesa kwemaminitsi gumi nemashanu. Panguva yekufamba, iwe unogona kuita kupisa kwemaoko kweminwe uye kunyanya kuisa mhepo inonhuhwirira.
Therapeutic tincture
Zvisungo:
- Rhizomes dzakaoma dzeLeuzea - 15 g;
- mvura inotonhora - 500 ml.
Kugadzirira, shandisa :
- Yakagadzika mimwe midziyo yakasvibirira.
- Dururira midzi nemvura yechando, siya kwehafu yenguva.
- Isa chipiko chebasa pachitofu uye uuye kumota.
- Birai mushonga wemaminitsi maviri kusvika ku5.
- Ivhara chigadziko nemuchishi, inopa mhinduro kwemaawa maviri.
- Futa iyo mvura.
- Inwa 90-100 ml yemishonga kanomwe pazuva.
- Ramba uchirapa kwemavhiki maviri.
Tea yekuvandudza kushandiswa kweropa
Zvisungo:
- tsvina shwiberi mashizha - 40-45 g;
- mvura inopisa - 300-350 ml.
Kugadzirira, shandisa :
- Geda uye zvinyoronyedze zvigadzirwa.
- Dururira mashizha nemvura inopisa, siya kwemaminitsi mashanu kusvika ku15.
- Inwa 150-180 ml yeii kaviri pazuva, unogona kutapira jamu kana uchi.
Chirwere chaRaynaud chirwere
Izvo zvinorondedzerwa chirwere hazvipodzwi zvakakwana, naizvozvo, kunyange nekuteerera zvakasimba kune zvose zvinorumbidzwa uye kurapa kwakasarudzwa zvakakodzera, zvishoma nezvishoma asi zvinopfuurira. Nzira chete yekubvisa chirwere chaRaynaud chirwere. Kushanda (sympathectomy) kunoita kuti kubviswa kana "kubviswa" kwezvinhu zvinokanganisa nerve, izvo zvinokonzera kupisa kwemitsipa yeropa. Vanachiremba vemazuva ano vanoshandisa endoscopic midziyo kuti vaite iyo nzira, sezvo inobatsira kubudirira mitezo yakaisvonaka nekutambudzika kwakanyanya.
Zvirwere zveRaynaud - kufungidzira
Kubudiswa kwevascular disorder kazhinji hako kunotungamirira kukuremara kana zvinetso zvakakomba, kunyanya nenguva yekurapa uye yakarurama. Kunyange zvazvo pasina maitiro ekurapa chirwere chaRaynaud zvakakwana, asi huporofita hwehupenyu pane hunoratidzwa hunoonekwa hunodiwa. Chinhu chinonyanya kukosha - kunyatsozadzisa zvose zvinokurudzirwa nemumwe nyanzvi, nguva dzose inodzivirira maitiro ehutano uye kuongorora kutonhora kwemigumo.